Individual provider Active NPI

Samantha Nicole Mescher, LAT, ATC

  • Athletic Trainer
  • Morehead City, NC
National Provider Identifier
1447726179
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3224 Issued in NC
Practice address
4218M Arendell St
Morehead City, NC 28557-2866
Phone
(252) 808-3100
Fax
(252) 808-3120
NPI assigned
Oct 20, 2018
Last updated
Oct 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 3224 NC Primary

Addresses

Primary practice location

4218M Arendell St
Morehead City, NC 28557-2866

Mailing address

210 Macdonald Blvd
Havelock, NC 28532-9716
Phone (618) 654-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3224NCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1447726179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MACDONALD BLVD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285329716",
            "telephone_number": "618-654-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218M ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESCHER",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "3224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.